K04
K04: Diseases of pulp and periapical tissues
Non-billable headerICD-10-CM
K04 is a non-billable header ICD-10-CM code for diseases of pulp and periapical tissues. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with K04
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead K04
10 child codes. Green means billable.
- K04.0Pulpitis
- K04.1Necrosis of pulp
- K04.2Pulp degeneration
- K04.3Abnormal hard tissue formation in pulp
- K04.4Acute apical periodontitis of pulpal origin
- K04.5Chronic apical periodontitis
- K04.6Periapical abscess with sinus
- K04.7Periapical abscess without sinus
- K04.8Radicular cyst
- K04.9Other and unspecified diseases of pulp and periapical tissues